Background/Introduction
As the use of radiation in medicine is still the biggest contributor to radiation exposure caused by man,
improving and maintaining a high quality of radiological medical procedures is of primary importance.
The EC Directive 97/43/EURATOM introduced the concept of Clinical Audit for the assessment of medical radiological practices and the requirement that all Member States should implement clinical audit in accordance with national procedures.
Since 2011 within the frame of the "National Programme for Monitoring Environmental Life and Work Determinants,
Objective 2 - Health...
Description of activity and work performed
Component I
The pilot study was applied from 2011 to 2015 in the diagnostic radiology departments of two regional public hospitals,
considered representative because of the high risk/high volume procedures and for the potential benefit to practice and patient.
Special attention was given to breast imaging departments with good technical infrastructure and implemented quality control programmes in order to prove/enhance their ability to conduct breast screening programs.
It was created a multidisciplinary team of auditors comprising dedicated medical professionals of different specialties (radiologists,
radiographers,
radiation...
Conclusion and Recommendations
Periodical application of clinical audit in clinical radiological practice (as a pilot study) showed that:
- clinical audit is a good management tool,
providing an overview of the essential elements of medical care quality,
of the weaknesses of clinical services and the responsibilities of employees;
- there are many benefits when applying clinical audit in radiological practice (increased interdisciplinary communication,
awareness of best practices,
optimization of medical practices by increasing the benefit/risk ratio,
highlighting the need for improvement on procedures and resources);
- for audited...
Personal/Organisational information
First author
LoredanaBogdan
- Physicist in Radiation Hygiene Department of Regional Center of Public Health Cluj-Napoca,
National Institute of Public Health,
Romania,
since 2000.
- Medical Physicist Expert in diagnostic and interventional radiology,
certified by National Commission for Nuclear Activities Control and Ministry of Health in accordance with the requirements of national legislation,
since 2008.
- participated in 9 EUTEMPE-RX modules accredited by EFOMP as CPD events for Medical Physicists in Diagnostic and interventional Radiology to achieve EQF level 8*,
2015-2016
Further authors
Dr.
Mihai...
References
International Atomic Energy Agency.
Comprehensive clinical audits of diagnosticradiology practices: a tool for quality improvement.
Quality assurance audit for diagnostic radiology improvement and learning (QUAADRIL).
IAEA Human health series no 4.
Vienna: International Atomic Energy Agency; 2010.
Available from,
http://www-pub.iaea.org/books/IAEAbooks/8187/Comprehensive-Clinical-Audits-of-Diagnostic-Radiology-Practices-A-Tool-for-Quality-Improvement .
European Commission.
Council Directive 2013/59/Euratom of 5 December 2013 laying down basic safety standards for protection against the dangers arising from exposure to ionising radiation,
and repealing Directives 89/618/Euratom,
90/641/Euratom,
96/29/Euratom,
97/43/Euratom and 2003/122/Euratom.
Health and Safety Executive.
A practical guide to clinical audit;...